| NPI | 1609224625 | 
|---|---|
| Former Name | SANDHYA TALLURI | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A18549) | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ R2670) | 
| Enumeration Date | 2016-05-31 | 
| Last Update Date | 2025-06-02 |